Evidence map›Paper›PMID 38933731›Full record

ReviewArchives of rheumatology2024

Rituximab for rheumatoid arthritis-related interstitial lung disease: A systematic review and meta-analysis.

Tarun Krishna Boppana, Saurabh Mittal, Karan Madan, Anant Mohan, Vijay Hadda, Randeep Guleria

Abstract readReview
In one paragraph

Review in Archives of rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
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  4. Review
  5. Review
  6. Article
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  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tarun Krishna BoppanaAll India Institute of Medical Sciences, Pulmonary, Critical Care and Sleep Medicine, Delhi, India.ORCID 0000-0002-9970-3712
Saurabh MittalAll India Institute of Medical Sciences, Pulmonary, Critical Care and Sleep Medicine, Delhi, India.ORCID 0000-0002-7979-6405
Karan MadanAll India Institute of Medical Sciences, Pulmonary, Critical Care and Sleep Medicine, Delhi, India.ORCID 0000-0002-5330-6391
Anant MohanAll India Institute of Medical Sciences, Pulmonary, Critical Care and Sleep Medicine, Delhi, India.ORCID 0000-0002-2383-9437
Vijay HaddaAll India Institute of Medical Sciences, Pulmonary, Critical Care and Sleep Medicine, Delhi, India.ORCID 0000-0001-5820-3685
Randeep GuleriaAll India Institute of Medical Sciences, Pulmonary, Critical Care and Sleep Medicine, Delhi, India.ORCID 0000-0002-4213-0052

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This systematic review and meta-analysis aimed at summarizing the evidence of efficacy and safety of rituximab in rheumatoid arthritis-related interstitial lung disease (RA-ILD). Materials and methods: PubMed and Embase databases were searched until June 22, 2022, to identify studies on RA-ILD treated with rituximab, confined to predefined inclusion and exclusion criteria. A systematic review and meta-analysis were performed on the included studies to assess the overall stabilization or improvement in ILD, changes in percent-predicted (%-predicted) forced vital capacity (FVC), and %-predicted diffusion capacity of lungs for carbon monoxide (DLCO) following rituximab therapy. Results: A total of 15 studies (4 prospective and 11 retrospective studies) were included, with a total of 314 patients. There were 105 (60.7%) females out of 173 subjects for whom sex details were available from seven studies. The overall pooled proportion of patients with stabilization or improvement in ILD was 0.88 [95% confidence interval (CI): 0.76-0.96, p=0.02]. Rituximab improved FVC from baseline by 7.50% (95% CI: 1.35-13.65; p=0.02, fixed effect). Similarly, rituximab improved DLCO by 6.39% (95% CI: 1.366-14.43; p=0.12, random-effect). Two retrospective studies reported reduced mortality with rituximab therapy compared to tumor necrosis factor-alpha inhibitors. Conclusion: Treatment with rituximab in RA-ILD was associated with a significant improvement in %-predicted FVC, as well as stabilization or improvement in ILD after one year of treatment.

Indexed as

Anti-CD20meta-analysisrheumatoid arthritis-related interstitial lung diseaserituximab.

Identifiers

PMID38933731
PMCPMC11196234

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.